Intraoperative Pontine Infarction: A Hidden Challenge
Apneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs),...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Case Reports in Anesthesiology |
| Online Access: | http://dx.doi.org/10.1155/2012/807398 |
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| author | Nicholas Marcanthony Ehab Farag |
| author_facet | Nicholas Marcanthony Ehab Farag |
| author_sort | Nicholas Marcanthony |
| collection | DOAJ |
| description | Apneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs), these respiratory and airway changes are not uncommon and have been well documented (Lee et al. 1976). These clinical changes are often associated with pontine trauma as it is the core pneumotaxic center in the brain stem. We describe the airway management of a patient with an acute, occult pontine infarct status post craniectomy and cervical laminectomy for decompression of known Chiari malformation in the postanesthesia care unit (PACU). |
| format | Article |
| id | doaj-art-adaa4386e13743e9bb39842c542447e7 |
| institution | Kabale University |
| issn | 2090-6382 2090-6390 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Anesthesiology |
| spelling | doaj-art-adaa4386e13743e9bb39842c542447e72025-02-03T01:00:36ZengWileyCase Reports in Anesthesiology2090-63822090-63902012-01-01201210.1155/2012/807398807398Intraoperative Pontine Infarction: A Hidden ChallengeNicholas Marcanthony0Ehab Farag1Anesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USAAnesthesiology Institute, Cleveland Clinic, Cleveland, OH 44195, USAApneusis, or apneustic respirations, is characterized by an abnormal breathing pattern involving gasping and the inability to fully expire. A loss of gag reflex and other cranial nerve deficits are also often accompanied with these respiratory changes. In neurological intensive care units (NICUs), these respiratory and airway changes are not uncommon and have been well documented (Lee et al. 1976). These clinical changes are often associated with pontine trauma as it is the core pneumotaxic center in the brain stem. We describe the airway management of a patient with an acute, occult pontine infarct status post craniectomy and cervical laminectomy for decompression of known Chiari malformation in the postanesthesia care unit (PACU).http://dx.doi.org/10.1155/2012/807398 |
| spellingShingle | Nicholas Marcanthony Ehab Farag Intraoperative Pontine Infarction: A Hidden Challenge Case Reports in Anesthesiology |
| title | Intraoperative Pontine Infarction: A Hidden Challenge |
| title_full | Intraoperative Pontine Infarction: A Hidden Challenge |
| title_fullStr | Intraoperative Pontine Infarction: A Hidden Challenge |
| title_full_unstemmed | Intraoperative Pontine Infarction: A Hidden Challenge |
| title_short | Intraoperative Pontine Infarction: A Hidden Challenge |
| title_sort | intraoperative pontine infarction a hidden challenge |
| url | http://dx.doi.org/10.1155/2012/807398 |
| work_keys_str_mv | AT nicholasmarcanthony intraoperativepontineinfarctionahiddenchallenge AT ehabfarag intraoperativepontineinfarctionahiddenchallenge |